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Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis I: Introduction

14
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
14
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

14
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
14
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

16
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
16
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

24
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
24
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

16
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
16
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

18
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
18

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Related Experiment Video

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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
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EBUS-TBNA-INDUCED PURULENT PERICARDITIS: A RARE COMPLICATION OF A COMMON PROCEDURE.

Joana Alfaiate1, Andreia Brito1, Ana Luisa Matos1

  • 1Serviço Medicina Interna - Centro Hospitalar do Médio Tejo, EPE, Abrantes, Portugal.

European Journal of Case Reports in Internal Medicine
|March 27, 2023
PubMed
Summary

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is generally safe but can cause rare, severe complications like pericardial empyema. Early recognition and treatment are crucial for better patient outcomes.

Keywords:
Endobronchial ultrasound-guided transbronchial needle aspirationinfectious complicationspericarditis

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Area of Science:

  • Pulmonology
  • Cardiology
  • Infectious Diseases

Background:

  • Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a key diagnostic procedure for mediastinal lesions.
  • While EBUS-TBNA boasts a favorable safety profile, rare but life-threatening complications can arise.

Purpose of the Study:

  • To report a rare and severe complication of EBUS-TBNA: pericardial empyema.
  • To highlight the importance of prompt diagnosis and management of such adverse events.

Main Methods:

  • Case report of a 70-year-old male undergoing EBUS-TBNA for a pulmonary mass and mediastinal adenopathies.
  • Clinical presentation, diagnostic workup, and treatment of the complication were documented.

Main Results:

  • The patient developed symptoms of purulent pericarditis with cardiac tamponade two weeks post-procedure.
  • Successful recovery was achieved through pericardial drainage and antibiotic therapy, resolving septic shock.

Conclusions:

  • EBUS-TBNA, despite its safety, necessitates awareness of severe complications like pericardial empyema.
  • Prophylactic measures and vigilance for risk factors (e.g., necrotic lesions, multiple punctures) are recommended.
  • Prompt diagnosis and treatment are vital for improving prognosis in rare severe EBUS-TBNA complications.